Concussion and edema of sacral spinal cord, init encntr

This code signifies a traumatic injury to the sacral spinal cord characterized by both a concussion (temporary neurological dysfunction) and swelling (edema). This injury specifically affects the lowest segment of the spinal cord, which controls functions such as bowel, bladder, and lower limb sensation.

Apply this code for the initial treatment of a patient presenting with symptoms consistent with a sacral spinal cord concussion and associated edema following an acute traumatic event. This includes situations like falls, motor vehicle accidents, or direct trauma to the sacral region.

• Ensure documentation clearly specifies both concussion and edema of the sacral spinal cord.
• Verify this is the patient's first encounter for this specific injury. Subsequent encounters will require a different seventh character.
• Always code any associated external cause of injury (e.g., fall, motor vehicle accident) in addition to this diagnosis.